| NPI | 1659600328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9360354) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH FO809362) |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2015-02-26 |